P06-12 Construction and validation of a physical activity and sedentary behavior temperaments questionnaire among French adults

Abstract Background Temperament refers to innate differences between individuals, is partly genetically determined, relatively stable across lifespan and expressed through behaviors such as physical activity and sedentary behavior. These two behaviors are known as major determinants of health. Therefore, measuring physical activity and sedentary behaviors temperaments appears to be of interest but no existing questionnaires allow for it among French adults. This study aimed to create and validate a questionnaire to measure physical activity and sedentary behavior temperaments among French adults. Methods The questionnaire was created by the Delphi method. Based on an existing questionnaire on eating temperament, 31 experts in physical activity, health psychology and public health were asked to formulate equivalent items to measure physical activity and sedentary behavior temperaments. The test of the psychometric qualities of the questionnaire and its validation will be carried out on three samples of north-eastern French adults: one of 500 to explore internal validity, one of 100 for external validity, and one of 60 for test-retest reliability (4-week interval). Internal validity will be investigated by exploratory and confirmatory factor analyses, and external validity and test-retest reliability with correlation analyses. Results The Delphi method results in a questionnaire of 40 items on physical activity and sedentary behavior temperaments. The test of the psychometric qualities of the questionnaire and its validation are in progress and will be carried out for the congress. Conclusions The validation of this questionnaire and its use in practice would help to guide changes in the management of physical activity and sedentary behavior as part of health promotion approach.


Background
Temperament refers to innate differences between individuals, is partly genetically determined, relatively stable across lifespan and expressed through behaviors such as physical activity and sedentary behavior. These two behaviors are known as major determinants of health. Therefore, measuring physical activity and sedentary behaviors temperaments appears to be of interest but no existing questionnaires allow for it among French adults. This study aimed to create and validate a questionnaire to measure physical activity and sedentary behavior temperaments among French adults.

Methods
The questionnaire was created by the Delphi method. Based on an existing questionnaire on eating temperament, 31 experts in physical activity, health psychology and public health were asked to formulate equivalent items to measure physical activity and sedentary behavior temperaments. The test of the psychometric qualities of the questionnaire and its validation will be carried out on three samples of north-eastern French adults: one of 500 to explore internal validity, one of 100 for external validity, and one of 60 for test-retest reliability (4-week interval). Internal validity will be investigated by exploratory and confirmatory factor analyses, and external validity and test-retest reliability with correlation analyses.

Results
The Delphi method results in a questionnaire of 40 items on physical activity and sedentary behavior temperaments. The test of the psychometric qualities of the questionnaire and its validation are in progress and will be carried out for the congress.

Conclusions
The validation of this questionnaire and its use in practice would help to guide changes in the management of physical activity and sedentary behavior as part of health promotion approach.

Background
Health systems play a fundamental and recognized role in promoting physical activity, particularly in the context of primary health care. eHealth is a broad concept that incorporates any area that combines healthcare and technology. This concept is often associated with improvements in process efficiency and cost reduction. Still, high occurrence of physical inactivity demonstrate the importance of developing new eHealth approaches for a more effective actuation. The aim of this work was to develop a new methodology to increase physical activity level, at primary health care. Methods A mobile application with web platform was developed to: physical activity prescription and monitoring; registration of biomedical variables, sending messages to users, managing physical activity events at the initiative of users (social network). The application was explained to the medical doctors and data from a case-study was accessed (56 yearsold male, Caucasian, single, nuclear family, upper middle class). History of physical inactivity, obesity, hypertension, dyslipidemia and depressive disorder (sertraline 50mg and mexazolam 1mg therapy), body composition, physical and CRP fitness were assessed. International physical activity and Self-perceived quality of life assessment questionnaires were also used.

Results
It was possible to understand that just by talking was not enough to engage the patient on a more active lifestyle. After several failed attempts on counseling for lifestyle changing, patient was referred for using the developed app. Physical exercise tailored plan was prescribed using the Movida.cronos. This tool opened the possibility of assessing patient performance and adherence to the prescribed program (>90%). It allowed a narrow informative channel between the patient and the medical doctor. In three months, the patient reduced form obesity to overweight (-3.4%), decrease his waist circumference (-6.3%), fat mass (-1.8%) and arterial mean pressure (-5.1%); with an associated increase on step test performance.

Conclusions
This case study demonstrate the potential use of eHealth technology, particularly in primary care. Movida.Cronos allowed the prescription and monitoring of performance and adherence levels to the prescribed exercise program. It brings

Introduction
With a range of interventions available for promoting physical activity (PA) and only limited resources, it has become imperative to identify those that are both effective and feasible for real world application. A number of evaluation frameworks have been developed but often fail to be widely implemented due to the level of information required and time needed to complete. The purpose of this study is to develop a standardised evaluation framework (SEF) for PA interventions that is usable in practice but also collects information that enables evidence based decision making among key knowledge users. Methods Development of the framework was guided by Nutbeam and Bauman's evaluation cycle, encompassing elements of formative, process, impact and outcome evaluation. The SEF was developed through four stages involving a 1) review of the literature, 2) feedback from key stakeholders, 3) national consultation, and 4) focus groups with a practitioner advisory group. Elements of the Technology Acceptance Model were used to assess the perceived usefulness and usability of the SEF by key stakeholders.yy Results Twelve relevant evaluation frameworks specific to PA interventions were identified through the literature review. Members of the project team (N = 3) identified commonalities across these frameworks, including general characteristics (N = 12), formative evaluation aspects (N = 5), process evaluation aspects (N = 15), impact evaluation aspects (N = 7) and outcome evaluation aspects (N = 3). Feedback across four stages, including consultations, two focus groups and an online survey provided feedback for creating a more usable and useful SEF. The current framework includes a minimum set of questions (i.e. monitoring template) for coordinators (N = 27) and participants (N = 9) with additional measures available for an in-depth evaluation where necessary. Conclusion I-PARC has seen the creation of a SEF that is moving towards a more usable approach for intervention evaluation in practice. The I-PARC SEF has the potential to be a usable resource to assess current PA interventions and provide knowledge regarding the potential scale up, adaptions or cessation of current practices. Feedback has also suggested a need for an online platform to collect the relevant information, capacity building resources and a support network to help with the use of the I-PARC SEF.